Provider Demographics
NPI:1033995568
Name:LAMIDI, DOYINSOLA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:DOYINSOLA
Middle Name:M
Last Name:LAMIDI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8592 N FARMDALE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6885
Mailing Address - Country:US
Mailing Address - Phone:925-237-0967
Mailing Address - Fax:
Practice Address - Street 1:100 E DALKE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-1006
Practice Address - Country:US
Practice Address - Phone:509-484-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61477180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily